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1497088348
JESSICA MAIE AVILES
EL CENTRO, CA
NPI
1497088348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
-- JESSICA MAIE AVILES
1295 W STATE ST
EL CENTRO, CA 92243-2845
Phone number: 760-337-3076
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Mailing Address
-- JESSICA MAIE AVILES
202 N 8TH ST
EL CENTRO, CA 92243-2302
Phone number: 760-482-4000
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